During an interview, the nurse states, "You mentioned shortness of breath.
Tell me more about that.”. Which verbal skill is used with this statement?
Facilitation.
Direct ask.
Open-ended ask.
Reflection.
The Correct Answer is C
Choice A rationale
Facilitation is a verbal technique that encourages the patient to say more by using non-verbal cues, such as nodding, or minimal verbal cues like "Mm-hmm" or "Go on.”. While it promotes communication, the statement "Tell me more about that" is a direct prompt for detailed information, not a subtle encouragement.
Choice B rationale
A direct ask is a specific question that elicits a concise, often one-word or brief, answer, such as "Are you in pain?" or "When did the shortness of breath start?" The nurse's statement, however, invites elaboration and detailed description, going beyond a simple direct response.
Choice C rationale
An open-ended ask is a type of question that encourages a comprehensive and descriptive response from the patient, rather than a simple yes or no answer. By asking "Tell me more about that," the nurse invites the patient to elaborate on their experience of shortness of breath, providing a richer understanding of the symptom.
Choice D rationale
Reflection involves repeating a patient's words or phrases to encourage further expression of their feelings or thoughts. While the nurse acknowledges the patient's mention of "shortness of breath," the statement "Tell me more about that" is an invitation for elaboration, not a direct reflection of the patient's exact words to encourage emotional exploration.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["101.3"]
Explanation
Step 1: Convert Celsius to Fahrenheit using the formula F = (C × 9/5) + 32.
Step 2: F = (38.5 × 9 ÷ 5) + 32.
Step 3: F = (346.5 ÷ 5) + 32.
Step 4: F = 69.3 + 32.
Step 5: F = 101.3 °F. The patient's temperature in Fahrenheit is 101.3 °F.
Correct Answer is D
Explanation
Choice A rationale
Asking the patient to turn their head side-to-side against resistance assesses the accessory nerve (cranial nerve XI), which innervates the sternocleidomastoid and trapezius muscles. This action tests muscle strength and integrity of the nerve pathways responsible for head and shoulder movement.
Choice B rationale
Asking the patient to stick out the tongue and move it side-to-side from midline assesses the hypoglossal nerve (cranial nerve XII). This nerve is responsible for the motor control of the intrinsic and extrinsic muscles of the tongue, crucial for speech articulation and swallowing.
Choice C rationale
Asking the patient to read the smallest set of letters on a Snellen eye chart assesses visual acuity, primarily testing the optic nerve (cranial nerve II) and the visual pathways. This evaluates the patient's ability to discern details at a distance.
Choice D rationale
Asking the patient to identify the smell of vanilla and orange peel directly assesses the olfactory nerve (cranial nerve I). This nerve is responsible for the sense of smell, and presenting distinct, non-irritating odors allows for the evaluation of its function and patency.
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